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[DIABETES AND RAMADAN FASTING - UPDATE 2019].

Adnan Zaina1, Riad Taher2, Mohammad Sheikh-Ahmad3

  • 1Endocrinology and Metabolism Department - Zvulon Medical Center, Clalit Healthcare Services, Haifa and Western Galilee district, Israel.

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Fasting during Ramadan requires careful diabetes management. Healthcare practitioners should adapt anti-diabetic therapy, prioritizing safer agents like incretin-based treatments and evaluating sodium glucose co-transporter 2 inhibitors for safe Ramadan fasting.

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Area of Science:

  • Endocrinology
  • Metabolic Disorders
  • Public Health

Background:

  • Fasting during Ramadan poses challenges for healthcare practitioners managing patients with diabetes.
  • Pre-Ramadan evaluation is crucial for assessing health status and fasting risks.
  • Adapting anti-diabetic therapy before Ramadan is essential for patient safety.

Purpose of the Study:

  • To provide healthcare practitioners in Israel with recommendations for managing diabetic patients during Ramadan.
  • To incorporate recent data and available therapies in Israel into management strategies.
  • To ensure safe fasting practices for diabetic individuals during religious observances.

Main Methods:

  • Review of current literature and guidelines on diabetes management during Ramadan.
  • Analysis of safety profiles of different anti-diabetic drug classes.
  • Consideration of specific patient populations, including those on sodium glucose co-transporter 2 inhibitors.

Main Results:

  • Incretin-based therapies are favored over sulphonylureas (SUs) and insulin due to higher safety profiles.
  • Patients on sodium glucose co-transporter 2 inhibitors (SGLT2i) require thorough pre-Ramadan medical assessment.
  • Individualized therapy adjustments are necessary for safe fasting.

Conclusions:

  • Healthcare practitioners must proactively educate and manage diabetic patients before Ramadan.
  • Prioritizing safer anti-diabetic agents and individualized care enhances patient outcomes during fasting.
  • This review offers practical guidance for optimizing diabetes care during Ramadan in Israel.